Clinical application of laparoscopic excision of pulmonary bullae with small incision in the treatment of spontaneous pneumothorax

Objective:To explore the clinical application of laparoscopic excision of pulmonary bullae with small incision in the treatment of spontaneous pneumothorax.Methods:Retrospective analysis was made on clinical data of 45 patients who suffered from spontaneous pneumothorax and underwent laparoscopic resection of pulmonary bullae with small incision.Results:No patients were converted to open surgery,incision healed well,good pulmonary reexpansion was confirmed by re-examination of X-ray chest film.Activation of affected upper limb wasn't limited.No postoperative complications occurred.No recurrence of pneumothorax was found in the follow-up from 3 months to 5 years.Conclusions:The surgical method is easy and feasible by using laparoscopic excision of pulmonary bullae with small incision in the treatment of spontaneous pneumothorax and application of high concentration of iodine for pleural fixation and modified closed thoracic drainage in the intra-operation.Patients have mild injury with minimally invasive effect and less cost.It is effective in preventing recurrence of pneumothorax,with less surgical injury and reliable therapeutic effect.In the absence of thoracoscopic equipment,this method is worthy of application and popularization in primary hospital.